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Description

Interpreta’s Clinical Action serves as a comprehensive platform for managing quality and risk interventions throughout the year, boasting NCQA certification in HEDIS and California IHA AMP since 2015. By leveraging HEDIS, state-specific metrics, and HCC formulations, Clinical Action offers an extensive library of quality and risk measures, all accessible via a cloud-based platform that seamlessly integrates with various provider groups and health plan ecosystems. The platform streamlines workflows by automating the processing of structured medical, lab, and pharmacy claims data, while also enhancing the environment for unstructured supplemental data, which aids in code capture and integrates with advanced artificial intelligence and machine learning capabilities, including natural language processing. Moreover, Clinical Action features customizable population management tools that facilitate care gap analytics, enabling healthcare providers to analyze data from a broad population health perspective down to individual members, thereby improving in-office preparation for physicians. This flexibility ensures that healthcare professionals can tailor their approach to meet the specific needs of their patients effectively.

Description

Pareto Intelligence is an innovative platform specializing in healthcare analytics and technology aimed at enhancing the financial performance and compliance of health plans and risk-bearing provider organizations while also improving clinical communication and outcomes in value-based care. At its foundation lies a centralized healthcare data environment that assimilates, normalizes, and enriches a variety of clinical, claims, and social determinants of health data, enabling comprehensive views of patients and programs that facilitate advanced analytics and reporting. Among its offerings are tools for risk adjustment and revenue integrity that reveal undocumented risk gaps, enhance risk scores, aid in RADV audit preparedness, reconcile premiums, and guarantee complete and compliant revenue capture. Additionally, Pareto provides payment integrity solutions designed to identify both under- and overpaid claims, thereby enhancing Section 111 reporting and the coordination of benefits. By leveraging these capabilities, healthcare organizations can make informed decisions that lead to improved patient outcomes and operational efficiency.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Interpreta

Founded

2014

Country

United States

Website

www.interpreta.com/products/clinical-action/

Vendor Details

Company Name

Pareto Intelligence

Country

United States

Website

paretointel.com

Product Features

Product Features

Alternatives

Alternatives

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